被排除在医疗保健之外:儿科移民健康考虑的描述性背景

Aysha Jawed, Christine Peck
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摘要

在过去的一年中,我们看到许多资源有限的流动儿科患者住进了约翰霍普金斯医院。这些患者在医学上是脆弱的,具有挑战性的社会心理环境。由于他们的移民身份,他们没有资格获得资源和服务,但他们迫切需要这些资源和服务。我们美国的医疗基础设施设计得很差,无法为这些患者服务。资源日益匮乏,向这些病人提供护理的连续性也不完整,危及他们的健康和安全。这场全球健康危机引起了巨大的争议,特别是在高成本医疗保健方面。来自实地的经验提供了一个描述性背景,说明了许多发展中国家由于获得医疗保健的机会不够理想而导致的移民情况。我们提出了全球健康、移民政策和移民对人权的影响。我们还提出建议,以建立一个全面的全球卫生网络,以解释医疗保健系统之间的充分差异。
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Locked out of healthcare: A descriptive context of migrant health considerations in pediatrics
Abstract Over the past year, we have seen many migrant pediatric patients with significant resource limitations admitted to the Johns Hopkins Hospital. These patients are medically fragile with challenging psychosocial circumstances. They are ineligible for resources and services given their immigration status yet are in dire need of them. Our United States healthcare infrastructure is poorly designed to serve these patients. Resources are increasingly scarce, and fragmentation exists in continuity of care provided to these patients that compromises their health and safety. This global health crisis is surrounded by immense controversy especially with respect to high‐cost healthcare. Experiences from the field provide a descriptive context on the circumstances surrounding migration attributed to suboptimal access to healthcare across many developing countries. We present global health, immigration policy, and human rights implications of migration. We also propose recommendations to build a comprehensive global health network that accounts for ample disparities across healthcare systems.
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